How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $112.20 | Professional | None | $77.62 | $77.62 | $112.20 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $81.28 Typical High $457.09 | Facility | None | $69.18 | $81.28 | $457.09 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $109.65 Typical High $602.56 | Professional | None | $67.61 | $109.65 | $602.56 |
United Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $117.49 | Professional | None | $60.26 | $75.86 | $117.49 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $56.23 | Professional | 52 · Reduced service | $38.90 | $38.90 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $22.39 | Professional | 53 · Discontinued | $15.49 | $15.49 | $22.39 |
Where Oklahoma sits
The same service costs 7.4 times more in North Carolina than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oklahoma· 34th of 51
$91.20
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.